述评(Commentary)

主动脉夹层的治疗进展

Published at: 2016年第25卷第6期

林长泼 1 , 符伟国 1
1 复旦大学附属中山医院 血管外科,复旦大学血管外科研究所,上海 200032
通讯作者 伟国 符 Email: fu.weiguo@zs-hospital.sh.cn
DOI: 10.3978/j.issn.1005-6947.10.3978/j.issn.1005-6947.2016.06.002
基金:

摘要

主动脉夹层发病急骤、病死率高、预后差。近年来随着腔内技术治疗主动脉疾病的发展,极大地改善了主动脉夹层的治疗效果,连同治疗理念亦发生了重大的变革。分类上,出现了一些新的分型系统来指导夹层的诊疗;治疗上,Stanford A型夹层仍以开放手术为主;复杂性Stanford B型夹层,腔内修复术已成为首选手术方式,同时越来越多的证据表明,对于非复杂性Stanford B型夹层,早期行腔内修复术远期效果更佳。


Advances in treatment of aortic dissection

Abstract

Aortic dissection (AD) is characterized by abrupt onset, high mortality and poor prognosis. With the development of endovascular techniques for the management of aortic diseases in recent years, the therapeutic effect of AD has been greatly improved, and the treatment concept has also significantly changed. In respect of classification, many new classification systems have been proposed to guide the management of AD and, as for treatment of AD, although open surgery is still the main treatment approach for Stanford A dissection, endovascular repair has become the preferred procedure for complicated Stanford B dissection, and meanwhile, accumulating evidences indicate that favorable results may be achieved in non-complicated Stanford B dissection by early endovascular intervention.


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引用

引用本文: 长泼 林, 伟国 符. 主动脉夹层的治疗进展[J]. 中国普通外科杂志, 2016, 25(6): 790-794.
Cite this article as: LIN Changpo, FU Weiguo . Advances in treatment of aortic dissection [J]. Chin J Gen Surg, 2016, 25(6): 790-794.